13-0903 (AR)P.O. BOX 1504 -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4 QUM&`::ii� le
�*'
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-000005103
Property Address: 51245 VIA SORRENTO
APN:- 777-330-011- - -
Application description: ADDITION - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 70000
Applicant: Architect or Engineer:
_O
LI NS CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I I ensed under provisions of Chapter 9 (commencing with
Section 7000) of Division -3 of the Business a P fessionals Code, and my License is in full force and effect.
License CI s: 13 License No.: 916227
• Datesserr / Contractor:
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I le.empt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county.that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors'.State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year.of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.l.
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner: '
BRODERRICK
51245 VIA SORRENTO
LA QUINTA, CA 92253
Contractor:
GJH DEVELOPMENT INC
29207 RIDGELINE CT
TEMECULA, CA 92590'
(760.)777-9520
Lic. No.: 916227
VOICE (7 60) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/05/•13
C�LA Qu TA
FlNQNCF----
_. _
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued.. My workers' compensation
insurance carrier and p icy number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, in the perfora of the work for which this permit is issued, I shall not employ any
person in any manner s s o become subject to the workers' compensation laws of California, .
and agree that, if I shou b ome subject to the workers' compensation provisions of Section
3700 of the Labor Code s all forthwith comply with those provisions.
Date �r 7 Applicant: -
WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of,this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being '
performed under or following issuance of this permit. -
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of su p rmit, or cessation of work for 180 days will subject
permit to cancellation. -
I certify that I have read this application and state that the information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi ristruction, and hereby authorize representatives.
of this coup to enter upon the above-mentioned property f r spection purposes.
Date:/ 7r - Signature (Applicant or Agent):
Application Number
13-00000903
Permit
ROOM"ADDITION 2013
Additional desc .
Permit Fee
181.61
Plan Check Fee-
.00
Issue Date
Valuation . . . .
10
Expiration Date
3/04/14
Qty" Unit Charge
Per
Extension
1.00 -120.1200
LS MISC
ROOM ADDN, 1ST 100 SF
120.12
1.00 61.4900
EA MISC
ROOM ADDN, ADDL 500 SF
61.49
Permit
ELECTRICAL 2013
Additional desc .
Permit "Fee . . .
23.83
Plan Check Fee
.00
Issue Date" . . . .
Valuation
0
Expiration Date
3/04/14
Qty Unit Charge
Per
Extension'
1.00 23.8300
-----------------------------------------------------------------
LS ELEC
FIXTURES, FIRST 20
23.83
Permit
MECHANICAL 2013 „
Additional desc ..
Permit Fee . . . .
47.67
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration Date,.
3/04/14
Qty Unit Charge.
Per
Extension
1.00 35.7500
EA MECH
FURNACE
35.75
1.00 11.9200
EA MECH
VENT FAN.
11.92
Permit . . . .
PLUMBING 2013
Additional desc .
Permit Fee . .. .
83.44
Plan Check Fee".
.00
Issue Date . . . .
Valuation . . .
0
Expiration Date '.
3/04/14
" Qty Unit Charge
Per
Extension."
4.00 11.9200
EA PLBG
FIXTURE/TRAP
47.68•1
1.00 11.9200
EA PLBG.
WATER HEATER/VENT
11.92
1.00 - 11.9200
EA PLBG
WATER INST/ALT/REP
11.92
1.00 11,19200
LS PLBG.GAS
SYS; 1-4 OUTLETS,
11.92
Special Notes and Comments
------- --------
-
-
.,DETATCHED CASITA ADDITION 492 SQ.
FT.
PER 2010.CALIF BUILDING CODES.
LQPEPM1T
,..
Application Number
13-00000903
------------------------------------------------
Special. Notes and
Comments
----
July 31, 2013 12:58:28
PM jjohnson.
-----------------------------------------------------------------------------
Other Fees .". .
. .r. . .
BLDG STDS ADMIN (SB1473)
3.00
HOURLY PLAN
CHECK
210.00
PLAN CHECK,
ELECTRICAL
PLAN CHECK,
ROOM ADDITION
185.90
PLAN CHECK,
MECHANICAL
52.43
PLAN CHECK,
PLUMBING
90.58
STRONG MOTION"(SMI) - RES
7.00
Fee summary
Charged
Paid
Credited
Due"
Permit Fee Total
336.55
..00
":00
336.55
Plan Check Total
.00.
.00
.00
.00
Other -Fee Total
584.66
.00
.00
584.66
Grand Total
921.21
.00,
.00
921.21
Bin # i
G
City of La Qui a
Building 8t' Safety Division ` J U L 15 2,011
P.O. Box 150.4, 78-495 Calle Ta pico
La Quinta, CA 92253 - (760) 7777CITY-COF LA QUINTA
Building Permit Application and Tr acing
Permit #
Project Address: 51)- f'6 /`N C
Owner's Name/j_ i/
2V/9'
A. P. Number: 777- ! 3 a — G //
Address: 5"/02 `i.i-
Legal Description:
Contractor: c
�� / /)/✓� c 0 �/%/� �c,. �� /..
City; ST, Zip:
— ��
Telephone: 7 � 0 •�� � /3) �.
Address: (/, i X
Project Description:
City, ST, Zip: i4 Q(%•N r 4 %- c1.1.21 3OX
Tele h ne: c
0 S
P b 1
State Lic. # : /G 1 1 7
City Lic. #/v.: 6:::::::?:.:.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
h 0
P �/ �; 1'—,�'� Q
nstructioType: Occupancy:
i
State Lic. #: ,r 3
Project type (circle one): Ne Add'n Alter Repair Demo
Name of Contact Person: /� Lj/' t, Tj A/
Sq. Ft.: Y9,Z
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 7.0 Q a V
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up /
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for correctios/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
?f31113 fiays RFc--
�c� � y i3c�- issov�
. 6cfw f F&G5 PAID
...... .........
:
C€racuella Valley. Unified School District
This Box For District Use Only
83:733 Avenue 55 Thermal CA 92274 DEVELOPER FEES PAID
(760) 398=5909 — Fax (760):398-1224
AREA: _
AMOUNT
LEVBL ONEAMOUNT: - : -
:LEVEL TWO AMOUNT.`
: MITIGATION AMOUNT:
COMMAND: AMOUNT:
- DATE: . ..
. R8CL=INT:"
CHECK#: "'
INITIALS
:CERTIFICATE OF COMPLIANCE
(California Education C6de.17620)
Project Name: Mountain View�GountryiClub, .. ' Date: September .11, 2013
Owner's Name: : Pete .Broderick -::Phone No.
760-777-9920
Project Address: 51-245 Via Sorrento; LaQuinta
Project Description- Casita Addition :.
APN: ..7777330-011 Tract #::;: - Lot #'s:.
Type of Development::.: Residential .. , . : XX::: ' Commercial Industrial:
"'Total Square Feet'of Building Area:... 492.
Certification.of ApplicaiidOwners:..The person signing certifies tha ' fie above information is correct and makes this statement utider
penalty o£perjury and further represents that he/she is.autfiorized to sig o ehalf of the owner/developer.
Si nature:
Dated: September 11, 2013. g
SCHOOL DISTRICT'.S.REQUIREMENTS.FOR THE ABOVE PROJECT HAVE.BEEN OR WILL BE.SATISFIED IN
ACCORDANCE WITH ONE OF THE- FOLLOWING:. (CIRCLE ONE) . ' • ' •
Education Code ::: _ _ : Gov. Code . ; : • : _ ; : Project; ; : • :. ; : Agreement Existing Not Sub'ect to Fee
J
.-.. 17620. ... ...
65995 Approval Prior to 1/1/87 . . Requirement
Note:
Number of Sq.Ft..:;.:..•492
Pursuant to AB.181;any;room additions. or enclosures of 500 ...
sq: ft..or less are exempt from developer fees.' Any mobile
Amount per:Sq.Ft. $3.20 homes being. relocated within the same school district's:.:
Amount Collected .. $1574.40:
Jurisdiction are exempt from developer fees.. -
Building PermitApplication Completed:. Yes/No
By: Elsa F. Esqueda, Director: of Facilities and -Maintenance
Certificate issued by- Laurie.Howard, Secretary Signature:
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1);a written notice to the
project appellant, at the.time:of payment of school fees, mitigation payment or;otherexactions ("Fees" ), of the 90 -day period to protest the imposition of these
. Fees and (2) the amount of the fees. Therefore, in accordance with.section 66020 of the Government code and other applicable law, this Notice sfiall:se'rve to
advise .you thaf the 90 -day protest period in regard to such Fees or. the:validity thereof, commences with the payment of: the fees or performance of any other
requirements as -described in section 66020 of the Governmentcode: Additionally, the amoun-of the fees imposed is as herein set.forth, whether payable at this
time or in whole or in. part, prior to issuance of a Certificate of Occupancy. As. in the latter, the 90 days, starts on the date hereof. This Certificate of
%
Compliance is valid for;tbiity (30) days from the.date:of.issuance. Extension:w.ill be. granted only for good cause, as determined by: the School District, and up ;
to three (3) such extensions may be granted.
:: MV:C/mydocs%devfees/CertifiCale or-campliance form updated -2007. : :: " 11/2010 " .... .. ..
tle 24 Energy Report
l
k Residence C
La ,'Quinta
Climate Zone #15
rig Energy Efficiency Standards
HEG Project No.: 13085
Fr - P1 F n.
CITY OF LA 'QUINTA
COMMUNITY DEVELOPMENT
GJH Development
r C1 OF LA
��� ,,()LNG & AF�N'�Ti4
i�q CEP r.
FCS CONS
O ��ED
� UCT/ON
# �ATi q�
....�..
Heritage Energy
Gro
July 10, 2013
Title 24 Energy Calculations & Mechanical Layouts,
Tel: (949).789-7221 / Fax: (949) 789-7222•
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1
Project Title.......... Broderick Cabana Date..07/10/13 15:37:00 _
Project Address........ 51-245 Via Sorrento
La Quinta *v8.1*
Documentation Author... Rudy Sains ******
Heritage Energy Group, LLC
470 Wald
Irvine, CA 92618
(949) 7.89-7221
Climate Zone. 15
Compliance -Method ...... MICROPAS8 v8.1 for 2008 CEC Standards (r03)
MICROPAS8 v8.1 File-13085CAB Wth-CTZ15S08
User#-MP0940 User -Heritage Energy Group, LL Run-
MICROPAS8 ENERGY USE SUMMARY
Energy Use
Standard
Proposed
Compliance
Percent
(kTDV/sf-yr)
Design
Design
Margin
Improvement
Space Heating...... ..
3.15
3.47
-0.32
-10.2%
Space Cooling..........
116.56
137.26-•
-20.70
-17.8%
Ventilation Fans.......
1.23
1.23
0.00
-0.0%
Water Heating., ... ..
45.28
23:58
21.70
47..9%
Total
166.22
165.54
0.68
0.4%
*** Building
complies with
Computer
Performance
***
GENERAL INFORMATION
HERS -Verification ............ Not Required
Conditioned Floor Area..... 492 sf
Building Type .............. Single Family Detached
Construction Type New
Natural'Gas at Site ....... Yes
Building Front -Orientation. Front Facing 90 deg (E)
Number of" Dwelling Units... 1
Number -of Building Stories. 1
Weather Data Type.......... FullYear.
-Floor Construction Type.... Slab On Grade
Number of Building Zones... 1
Conditioned Volume......... 4920 cf
Slab -On -Grade Area......... 492 sf
Glazing Percentage ........... 29.9 % of'floor area.
Average Glazing U -factor... 0.36 Btu/hr-sf-F
Average Glazing SHGC....... 0.3'
Average'Ceiling Height..... 10DIP,
ft
CIT
E3E�rI�D E
FOA P
Dai-
CERTIFICATE OF COMPLIANCE: -RESIDENTIAL COMPUTER. METHOD
Project Title.......... Broderick Cabana
CF -1R Page 2
Date...07/1'0/13 15:37:00
Back
(W)
BUILDING ZONE
INFORMATION
Sheath-
(W)
3
Floor
# of
# of
Cond-•Thermo-
Vent
Vent Verified
(E)
'Area
Volume Dwell
Peop-
it- stat
Height
Area -Leakage or
Zone Type
(sf)
(cf) Units
le
ioned Type
(ft)
(sf) Housewrap
Residence
492
4920' 1.00
2.0
Yes Setback
2.0
Standard No
ATTIC AND ROOF DETAILS
Frame R- R-
Roof Roof Re- Emiss- Frame Spac- Value Value Vent
Mass Rise fleet- ivity Depth ing Above Below Area' Vent
Roof Type- (lb/sqft) ance (in.) (in.) Deck Deck Ratio High
Tile Heavy 4:12 0.10 0.85 3.5 2.4 oc 0.85 0.00 1/150 0.30
OPAQUE SURFACES
Length
Surface (ft)
6 S1abEdge 98
Orientation
1
Door
Back
(W)
U-
Wind
Sheath-
(W)
3
Solar
Appendix '
(N)
4
Frame
Area.'fact-
(E)
Cavity
ing
Act
(S)
Gains
JA4 Location/
Surface
Type
(sf)
or
R-val
R-val
Azm
Tilt
Reference Comments
1.
Wall
Wood
133
0.102
13
0
270
90
Yes
4.3.1 A3
2
Wall
Wood
282
0.102
13
0
0
90
Yes
4.3.1 A3
3
Wall
Wood
182
0.102
13
0
90
.90
Yes
4.3.1 A3
4
Wall
Wood
258
0.102
13
0
180
90
Yes
4.3.1 A3
5
AtticRad
Wood
' 492
0.025.
38 '
0,
n/a
0
Yes
4.2.1 A21
r
Length
Surface (ft)
6 S1abEdge 98
Orientation
1
Door
Back
(W)
2
Wind
Back
(W)
3
Wind
Right
(N)
4
Door,
Front
(E)
5
Wind
Left
(S)
F2
Factor
0.730
PERIMETER LOSSES
Appendix
Insul Solar JA4 Location/
R-val Gains Reference Comments
No 4.4.7 Al Standard Slab Edge
R-0/Oin
FENESTRATION SURFACES
Exterior
Area U- Act Shade
(sf) factor SHGC.Azm Tilt Type Location/Comments
48.0 0.350 0.250 270 90 Standard 1/French Door low -e
25.0 0.360 0.350 270 90 Standard 2/Vinyl Frame/Operable/L
12.5 0.360 0.350 0 90 Standard 3/Vinyl Frame/Operable/L
24.0 0.350 0.250 90 90 Standard 4/French Door low -e
37.5 0.360 0.350 180 90 Standard' 5/Vinyl Frame/Operable/L
I CITY 01 L-A QUINTA
BUI1(�►NG &SAFE
�P��®�/TM UEPr•
FSR C�NSTRU ��®
DATE
By
CERTIFICATE OF.COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R
Page 3
Project Title .......... Broderick Cabana.. Date..07./10/13 15:37:00
OVERHANGS
Window Overhang
Area Left Right
Surface
(sf) Width Height Depth. Height Extension Extension
1 Door
48.0 n/a 8 1 •2 n/a n/a'
2 Window
25.0 n/a 5 1 2 n/a h/a
3 Window
12.5 n/a 5 1 2 n/a n/a
4 -Door
24.0- n/a 8 2 2 n/a n/a
5 Window
37:5` n/a 5 1 2 n/a n/a-
/aSLAB
SLABSURFACES
Area
Slab Type (sf)
Standard Slab 492
HVAC SYSTEMS
Verified
Verified Verified Verified Verified,
Maximum
System
Minimum Refrig Charge Adequate Fan Watt
Cooling
Type-'
Efficiency EER or CID Airflow Draw
Capacity
HeatPump
8.00 HSPF n/a n/a, n/a n/a
'n/a
ACSplit
16.00 SEER No No' No No
No
"
HVAC SIZING
Verified
Total Sensible- Design Maximum
Heating .Cooling.Cooling Cooling
System
Load Load Capacity Capacity
Type
(Btu/hr.) (Btu/hr)' (Btu/hr) ,(Btu/hr)
HeatPump 12585 n/a n/a n/a
ACSplit
n/a 10779 1337,7 n/a
Sizing Location............. LA QUINTA
Winter Outside Design..:.,. 26 F
Winter Inside.Design....... 70 F
Summer Outside Design...... 111 F
Summer Inside Design....... 75 F
Summer Range., ........ 34 F
°r jr' 0F. LA QU'N
TA
SE
AF
Pit 'VEE
�'�%' C:O�ST
D,4T[
_�� BY
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF-1R Page 4
Project Title., ....... Broderick Cabana Date..07/10/13 15:37:00
DUCT SYSTEMS
Verified Verified Verified r
System Duct Duct Duct - Surface Buried
Type Location R-value Leakage, Area Ducts,
HeatPump None R-n/a, n'/a n/a n/a
ACSplit None R-n/a' n/a n/a n/a.
FAN SYSTEMS
Flow Power
System Type .(cfm) (W/cfm)
Standard 19.9.2 .25
-` f
WATER HEATING SYSTEMS
• Number Tank External
Heater in Energy Size Insulation
Tank Type Type Distribution Type System Factor. (gal), R=value
1 Smal'1Tan'.zless Gas Standard 1 0.82 n/a -n/a
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items in this section should be documented on the plans, ***
*** installed to manufacturer and.CEC-'specifications, and *** •,
*** verified during plan check and.fiel'd inspection. ***
This building incorporates a Radiant.Barrier.
This building incorporates a non -standard Water Heating System., ,
REMARKS
QITY OF
RUILOING & SAFETY DEPT-
. , pEPra
pp�®���
R CONSTRUCTION
DATE BY
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD- CF -1R Page 5
Project Title.......... Broderick_Cabana r Date. .07/10/13 15:37:00,
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with -Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative' -regulations to .
-implement them. This certificate has.been signed by the individual with
overall.. design responsibility.
DESIGNER or OWNER DOCUMENTATION AUTHOR
Name.... Name... Rudy Sains
Company. GJH Development Company. Heritage Energy Group, LLC
Address. 29207 Ridgeline Ct. Address.' 470 Wald
Temecula, CA 92590 Irvine, CA 92618
Phone... 760-578-3545, Phone... (949)•789.=7221 s
License.
Signed.. Signed..
(date) (date)
ENFORCEMENT AGENCY -
Name.....
Title
Agency,.. _
Phone ..
Signed..
(date)
CITY :INOG
:FA
Q:�iLDSAFETY DEPT. 1"•
FI E
CTIOI�
DATE '
Mandatory Measures Summa MF -1R
Residential (Page 1 of 3
Site Address: Enforcement Agency: Date:
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed,
regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1R,
CF -IR -ADD, or CF -IR -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures
Summary shall be incorporated into the permit documents and the applicable features shall be considered by all parties as minimum
component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all
applicable sections of the MF -IR Form with plans.
DESCRIPTION
Building Envelope Measures:
§ 116 a 1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§ 116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient
SHGC , and infiltration that meets the requirements of § 10-111 (a).
§117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
§118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§ 118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of § 118(i) when the installation of
a Cool Roof is specified on the CF -1R Form.
*§150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor.
§ 150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor.
*§ 150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor.
§150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -1R Form.
§ 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§ 150(l): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor penneance rate is no
eater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
§150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§ 150(e)1B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped
with a with a readily accessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the
building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:
§ 110-§ 113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission.
§I 13(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve,
backflow prevention, pump isolation valve, and recirculation loop connection requirements of § 113(c)5.
§ 115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an
electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool ands a heaters.
§ 150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
§ 150(i): Heating systems are equipped with thermostats that meet the s tback-r quirements of Section 112(c).
§ 1500)IA: Storage gas water heaters rated with an Energy Factor no gifeat dr`t)w d -th ffe'deral-m inimal standard are externally wrapped with
insulation having an installed thermal resistance of R-12 or reater.� Y o
§ 150(j)1B: Unfired storage tanks, such as storage tanks or backup tanks1 fo solarewatr>=heati g syhtem;loi of r n, re t hot water tanks have R-12
external insulation or R-16 internal insulation where the internal insulation_R-val elr rigdicated 9 _ e" e9ct 'or of the tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, nfm
on-iE6ifcup g'systems,.an `e tr .leh of recirculating sections
of hot water pipes are insulated per Standards Table 150-B. �Or A"--- � tn
§ 1500)2: Cooling system piping (suction, chilled water, or brine linds),and piping insulated`bd ddT&;—q!bVource d indirect hot water tank
shall be insulated to Table 150-B and Equation 150-A. I r)Ar-
§1500)2: Pipe insulation for steam hydronic heating systems or hot1water"systems>1.5_psiLmteets the requirements f Standards Table 123-A.
§1500)3A: Insulation is protected from damage, including that due to sunlight, moisture, equip e�aintenance, hdwind.
§ I500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclose entirely in conditioned space.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summar MF -1R
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Site Address: Enforcement Agency: Date:
§ 1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§ 150(m)1: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602,
603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or
enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable
requirements of UL 181, UL 181 A, or UL 18113 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to
seal openings eater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§ 150(m)1: Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal,
duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts.
Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts.
§ I50(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape
is used in combination with mastic and draw bands.
§ I50(m)7:'Exhaust fan systems have back draft or automatic dampers.
§ 150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
§ I50(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam
insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that
can cause degradation of the material.
§ 150(m)10: Flexible ducts cannot have porous inner cores.
§ 150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in
Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in
Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§ 114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use
electric resistance heating ora pilot light.
§ 114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return
lines, or built-up connections for future solar heating
§ 114(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§ 114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
§150(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of § 150(p).
Residential Lighting Measures:
§150(k)l: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table 150-C and is not a low efficacy luminaire asspecified by § 150(k)2.
§150(k)3: The wattage of permanently installed luminaires shall be determined as specified by § 130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high
efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -voltage
lamp holder; OR shall be rated to consume no more than five watts of power as determined by § 130(d), and shall not contain a medium
screw -base socket. r
a
§ I50(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall m' eht`tfie,applicable re rernen of § 150(k).
All switching devices and controls shall meet the requirements of 150 k 7 ry r QU
§150(k)7: g q § (. )[ tin,,
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed "lfil tui in 't+rl$e`jssgl�al(->z�° hh f cacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ftZ or 100�watts fowdw'el ' rNA u is ]I 2, 00 ftz may be exempt
from the 50% high efficacy requirement when: all low efficacy luminaires ;�h,e�Nitche ca> tr Illed by a anual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene pro- fr&S-I c Vote s{e�rp; and 1 permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are h`1g'h`l;fficac and controlled by a
manual -on occupant sensor. I DATE
§I50(k)9: Permanently installed lighting that is internal to cabinets shall 'u'se•no-mope than -20 -watt wer per linear f of of illuminated
cabinet.
§150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets an lity rooms shall be high
efficacy.
2008 Residential Compliance Forms August 2009
Mandatory Measures Summa MF -1R
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Site Address: Enforcement Agency: Date:
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of § 119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a
manual -on occupant sensor.
§ 150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility
rooms shall be high efficacy luimnaires.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch
that complies with the applicable requirements of § 119, or by a manual -on occupant sensor that complies with the
applicable requirements of § 119.
EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply
with § 150 k 11.
§150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or
other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing
and ceiling.
§ 150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling
units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot
shall be high efficacy.
EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual
on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the
following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be
always on
EXCEPTION, 2: Outdoor luminaires used to comply with Exceptionl to § 150(k)13 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hours.
EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of
the California Electric Code need not be hi h efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five
Watts of power as determined according to § 130(d).
§ 150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of
Sections 130, 131, 134, and 146
§ 150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensor(s)
certified to comply with the applicable requirements of § 119.
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2008 Residential Compliance Forms August 2009